[hypoglycaemia] Flashcards

1
Q
A

plasma glucose <3 mmol/L

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2
Q
A
confusion
drowsiness
visual disturbances
seizures
coma
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3
Q
A

sweating
anxiety
palpitations
tremor

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4
Q
A

Overdose with sulfonylurea or insulin

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5
Q
A

EXPLAIN

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6
Q
A
exogenous drugs 
Pituitary insufficiency
Liver failure
Addisons
Islet cell tumour/insulin-r antibodies
Non-pancreatic neoplasms
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7
Q
A

B-blockers

pentamidine

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8
Q
A

liver failure

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9
Q
A

insulin
glucose
C-peptide
plasma ketones

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10
Q
A

indicates the level of insulin even if the pt is on insulin therapy. can differentiate the cause of hypoglycaemia

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11
Q
A

connect insulins A chain to B chain during synthesis, then is released in equimolar amounts to insulin

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12
Q
A

exogenous insulin overdose

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13
Q
A

Sulfonylureas

insulinoma

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14
Q
A

anti insulin receptor antibodies

non-pancreatic neoplasm

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15
Q
A

alcohol
pituitary insufficiency
addisons

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16
Q
A

Hodgkins

17
Q
A

fingerprick

72 fasting glucose

18
Q
A

post prandial (dumping syndrome)

19
Q
A

Sugar and starch (e.g. toast)

20
Q
A

25-50 ml glucose 50% IV

21
Q
A

Glucagon IM 1mg

22
Q
A

MEN 1

23
Q
A

insulinomas

24
Q
A

symptoms come with fasting or exercise
recorded hypoglycaemia with symptoms
symptoms releived by glucose

25
Q
A

high insulin and low glucose during a fast

26
Q
A

exogenous insulin given
measure c-peptide
should suppress

27
Q
A

excision